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Fracture/Sprain/Strain/Dislocation Except Hip (without MCC)

West Virginia rates for MS-DRG 563

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC

Rates data updated July 2026.

How much does Fracture/Sprain/Strain/Dislocation Except Hip (without MCC) cost?

$8,318

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $8,318 for this service. Most negotiated rates run $7,762 to $10,965.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,318 · 10th to 90th $7,586 to $15,488
$5.0K$10.0Kfacility $8,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$12,302.69
Typical High
$16,982.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$7,762.47
Typical High
$12,302.69

Where West Virginia sits

The same service costs 3.1 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $8,318 · 49th of 51
CA $22,387NM $7,244

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.